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Drastic Reductions in Mental Well-Being Observed Globally During the COVID-19 Pandemic : Results From the ASAP Survey

Title data

Wilke, Jan ; Hollander, Karsten ; Mohr, Lisa ; Edouard, Pascal ; Fossati, Chiara ; González-Gross, Marcela ; Sánchez Ramírez, Celso ; Laiño, Fernando ; Tan, Benedict ; Pillay, Julian David ; Pigozzi, Fabio ; Jimenez-Pavon, David ; Sattler, Matteo C. ; Jaunig, Johannes ; Zhang, Mandy ; van Poppel, Mireille ; Heidt, Christoph ; Willwacher, Steffen ; Vogt, Lutz ; Verhagen, Evert ; Hespanhol, Luiz ; Tenforde, Adam S.:
Drastic Reductions in Mental Well-Being Observed Globally During the COVID-19 Pandemic : Results From the ASAP Survey.
In: Frontiers in Medicine. Vol. 8 (2021) . - 578959.
ISSN 2296-858X
DOI: https://doi.org/10.3389/fmed.2021.578959

Abstract in another language

Most countries affected by the COVID-19 pandemic have repeatedly restricted public life to control the contagion. However, the health impact of confinement measures is hitherto unclear. We performed a multinational survey investigating changes in mental and physical well-being (MWB/PWB) during the first wave of the pandemic. A total of 14,975 individuals from 14 countries provided valid responses. Compared to pre-restrictions, MWB, as measured by the WHO-5 questionnaire, decreased considerably during restrictions (68.1 ± 16.9 to 51.9 ± 21.0 points). Whereas 14.2% of the participants met the cutoff for depression screening pre-restrictions, this share tripled to 45.2% during restrictions. Factors associated with clinically relevant decreases in MWB were female sex (odds ratio/OR = 1.20, 95% CI: 1.11-1.29), high physical activity levels pre-restrictions (OR = 1.29, 95% CI 1.16-1.42), decreased vigorous physical activity during restrictions (OR = 1.14, 95% CI: 1.05-1.23), and working (partially) outside the home vs. working remotely (OR = 1.29, 95% CI: 1.16-1.44/OR = 1.35, 95% CI: 1.23-1.47). Reductions, although smaller, were also seen for PWB. Scores in the SF-36 bodily pain subscale decreased from 85.8 ± 18.7% pre-restrictions to 81.3 ± 21.9% during restrictions. Clinically relevant decrements of PWB were associated with female sex (OR = 1.62, 95% CI: 1.50-1.75), high levels of public life restrictions (OR = 1.26, 95% CI: 1.18-1.36), and young age (OR = 1.10, 95% CI: 1.03-1.19). Study findings suggest lockdowns instituted during the COVID-19 pandemic may have had substantial adverse public health effects. The development of interventions mitigating losses in MWB and PWB is, thus, paramount when preparing for forthcoming waves of COVID-19 or future public life restrictions.

Further data

Item Type: Article in a journal
Refereed: Yes
Keywords: SF-36; WHO-5; coronavirus; lockdowns; pain; psychological health
Institutions of the University: Faculties > Faculty of Cultural Studies
Faculties
Faculties > Faculty of Cultural Studies > Department of Sport Science > Chair Sport Science I - Neuromotorik und Bewegung > Chair Sport Science I - Neuromotorik und Bewegung - Univ.-Prof. Dr. Dr. Jan Wilke
Result of work at the UBT: No
DDC Subjects: 600 Technology, medicine, applied sciences > 610 Medicine and health
Date Deposited: 16 Apr 2024 05:44
Last Modified: 02 May 2024 06:40
URI: https://eref.uni-bayreuth.de/id/eprint/89226